Individual provider Active NPI

Wendy M Shaw, MD

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1609831940
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35047765S Issued in OH
Practice address
9500 Euclid Ave
A10
Cleveland, OH 44195-0001
Phone
(216) 445-7918
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35047765S OH Primary

Addresses

Primary practice location

9500 Euclid Ave
A10
Cleveland, OH 44195-0001

Mailing address

9500 Euclid Ave
A10
Cleveland, OH 44195-0001
Phone (216) 445-7918

Other identifiers 1

IdentifierTypeStateIssuer
0507437MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000527 OH Practitioner - Diagnostic Radiology 6800795410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1000 E Washington St
Medina, OH 44256-2170
Phone (330) 721-5117

12300 McCracken Rd
Cleveland, OH 44125-2914
Phone (440) 587-8600

1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

4300 Allen Rd
Stow, OH 44224-1032
Phone (330) 945-9300

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35047765SOHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince Apr 1, 2012 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jan 1, 2001 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jan 1, 2001 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Jan 1, 2001 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
DRS. Hill & Thomas Co. Diagnostic Radiology Past Accepting new patients
Greene Medical Imaging PC Diagnostic Radiology Past Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

551 Washington St
Chagrin Falls, OH 44022
Phone (440) 893-9393

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

26900 Cedar Rd
Cleveland, OH 44122
Phone (216) 839-3000

9500 Euclid Ave
#A10
Cleveland, OH 44195
Phone (216) 445-7918

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

5005 Rockside Rd
Independence, OH 44131
Phone (440) 986-4000

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: wshawmd51778@direct.ccf.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1609831940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "A10",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "A10",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "WENDY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35047765S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0507437",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.